Active NPI
Lisanne Meiners McCuller
- Physical Therapist
- Baton Rouge, LA
National Provider Identifier
1407036098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 07311
- Practice address
- 7942 Goodwood Blvd
Baton Rouge, LA 70806-7629 - Phone
- (225) 926-2400
- NPI assigned
- Nov 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 07311 | LA | Primary |
Addresses
Primary practice location
7942 Goodwood Blvd
Baton Rouge, LA 70806-7629
Mailing address
7942 Goodwood Blvd
Baton Rouge, LA 70806-7629
Phone (225) 926-2400
Other practice location 1
1501 Kings Hwy
LSUHSC-S Mollie Webb
Shreveport, LA 71103-4228
Phone (318) 675-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07311 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1407036098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7942 GOODWOOD BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708067629",
"telephone_number": "225-926-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7942 GOODWOOD BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708067629",
"telephone_number": "225-926-2400"
}
],
"practiceLocations": [
{
"address_1": "1501 Kings Hwy",
"address_2": "LSUHSC-S Mollie Webb",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034228",
"country_code": "US",
"telephone_number": "318-675-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCULLER",
"first_name": "LISANNE",
"middle_name": "MEINERS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-12",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "07311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.